Organization
ENDOCRINE & DIABETES ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE MULMED MD FACE (PRESIDENT)
(612) 336-5000
Entity
Organization
Contact information
Practice address
710 E 24TH ST, SUITE 405, MINNEAPOLIS, MN 55404-3840
(612) 336-5000
(612) 775-9800
Mailing address
710 E.24TH ST., SUITE 405, MINNEAPOLIS, MN 55404-3840
(612) 336-5000
(612) 775-9800
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
20522
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3315697
MEDICA
MN
01
—
39111EN
BLUE CROSS/BLUE SHIELD
MN
Enumeration date
10/04/2006
Last updated
07/06/2011
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